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General NPI Number Information
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NPI Number | 1750381422
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Entity Type | Organization
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Legal Business Name | DOUGLAS AVERY & ASSOCIATES LTD
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Dates
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Enumeration Date | 07/26/2005
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 6862 ELM ST SUITE 105
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City | MC LEAN
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State | VA
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Zip | 22101-3897
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Country | US
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Telephone | 703-556-7788
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Fax | 703-556-9750
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Provider Business Mailing Address
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Address Line | 4714 GETTYSBURG RD LEGAL DEPARTMENT
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City | MECHANICSBURG
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State | PA
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Zip | 17055-4325
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Country | US
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Telephone | 717-972-1100
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Fax | 717-975-9981
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | JOHN F DUGGAN
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Credential |
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Telephone | 717-972-1100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State | VA
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